At this point in time the only rational solution is medicare for everybody with fee paid through pay checks same as for Social Security and in diferent amounts depending on income. i.E. 6.2% from 0 to $100,000, 8.2% from $100,000 to $500,000 and 10.2% from $500,000 and up. The system is already in place. It can establish prices based on common sense, and the provider shoulsd take it or leave it. Madicaid should take care for people than can not afford. Medicare also needs to stop the rampant existing fraud. Medical scools should be tuiton free with the obligation that every graduate to perform in certain area of the country. Again medicare for everybody. The system is in place, just do some improvements. Why reinvent the wheel?